Specialty Primary Care As A Growth Strategy

Positioning specialty provider organizations for reimbursement contracts that are not fee-for-service has been a challenge. Even among specialists, behavioral health organizations are behind the rest of the pack. Health plans have alternate payment arrangements with 79% of cardiac specialty organizations, but only 22% of behavioral health specialty organizations (see 56% Of Payers Had Outcomes-Based Provider Reimbursement In Place As Of September 2021).

The work of our team in this area has found the two best paths for specialty provider organizations to stay in 'first position' for preferred referrals. One path is to develop a targeted program for . . .